﻿@{
    ViewBag.Title = "报告上传接口";
    Layout = null;
}
<div class="easyui-panel" data-options="footer:'#footer',border:false,fit:true">
    <form id="ff" class="easyui-form" method="post">
        <input name="RId" type="hidden" />
        <table class="tfrm2">
            <tr>
                <td>体检机构:</td>
                <td><input name="RHospId" style="height:25px;" /><span class="required">*</span></td>
                <td>体检日期:</td>
                <td><input name="RPhysicalTime" type="text" class="easyui-datebox" style="height:25px;" /></td>
            </tr>
            <tr>
                <td>预约客户:</td>
                <td colspan="3"><input name="ROrderId" style="width:520px;height:25px;" /></td>
            </tr>
            <tr>
                <td>体检报告:</td>
                <td colspan="3"><input name="RUrl" class="easyui-textbox" style=" width:520px;height:25px;" /></td>
            </tr>
            <tr>
                <td>备注:</td>
                <td colspan="3"><input name="RRemark" class="easyui-textbox" data-options="multiline:true" style="width:520px;height:100px;" /></td>
            </tr>
        </table>
    </form>
</div>
